Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Casey Kelly, CNP

Individual provider Nurse Practitioner · NPI 1174018246

Casey Kelly, CNP is a Nurse Practitioner in Eagan, Minnesota. Qualified in 2018, 8 years ago. Practices with Preferred Podiatry Group PC, a 129-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

2620 Eagan Woods Dr
Eagan, MN 55121
Phone: (651) 968-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5920 (MN)

Record details

NPI number1174018246
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJune 29, 2018
Last updated in NPPESAugust 29, 2020
Certification dateAugust 29, 2020
Mailing address1272 Randolph Ave, Saint Paul, MN 55105-2954

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Preferred Podiatry Group Pc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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